2018-206-E Child Support - Shred It secure document destruction

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DocuSign Envelope ID:C5D7A09B-E62C-4706-B97F-522235BC2DD9 356429-SHRED A m DATE(MMIDD/YYYY)do,Ra CERTIFICATE OF LIABILITY INSURANCE 5/31/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME: Risk Management Department Commercial Lines-(305)443-4886 PHONE 305 443-4886 FAx (305)441-0813 A/C No Ext: ( IC, No Wells Fargo Insurance Services USA, Inc. E-MAIL i terc cleCerts o.com wellsfar ADDRESS: S Y G g 2601 South Bayshore Drive,Suite 1600 INSURER(S)AFFORDING COVERAGE NAIC# Coconut Grove,FL 33133 INSURER A: Lexington Insurance Company 19437 INSURED INSURER B: Greenwich Insurance Company 22322 Shred-it USA,LLC a subsidiary of Stericycle, Inc. INSURER C: Allied World National Assurance Co. 10690 28161 N Keith Drive INSURER D: XL Insurance America, Inc. 24554 INSURER E: XL Specialty Insurance Company 37885 Lake Forest, IL 60045 INSURER F: COVERAGES CERTIFICATE NUMBER: 11835111 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MMIDD/YYYY MMIDDIYYYY XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A EG 1932356 06/01/2017 06/01/2018 TED CLAIMS-MADE OCCUR PREM SESOEa occurrence) $ 300,000 MED EXP(Any one person) S 25.000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE.LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JECTPRO- � LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER $ B AUTOMOBILE LIABILITY RAD9437833(AOS) 06/01/2017 06/01/2018 Ea acccidentSINGLE LIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS Physical g slcal Damage- BODILY INJURY(Per accident) $ HIRED NON-OWNED Self Insured PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLALIAB X OCCUR 0305-0836 06/01/2017 06/01/2018 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ S WORKERS COMPENSATION ST 06/01/2017 06/01/2018 X ATUTE EORH D AND EMPLOYERS'LIABILITY Y/N RWD9435489(AOS) ANYPROPRIETOR/PARTNER/EXECUTIVE RWR9435490 AK&WI 06/01/2017 06/01/2018 E.L EACH ACCIDENT $ 1,000,000 E OFFICER/MEMBER EXCLUDED? C NIA ( ) (Mandatory in NH) EL DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ Edmund (Tim) Hackman DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION Shred-it USA,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 28161 N Keith Drive ACCORDANCE WITH THE POLICY PROVISIONS. Lake Forest, IL 60045 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)